Ira R Stark in Philadelphia - Diagnostic Radiology
Ira R Stark - NPI 1710987854
Ira R Stark is a Diagnostic Radiology in Philadelphia, Pennsylvania. Ira R Stark practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Ira R Stark is 1710987854. The last update date is 2014-08-12.
Ira R Stark's current location address is 230 N Broad St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157621808 and fax number 2157624721. The mailing address for Ira R Stark is 230 N Broad St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ira R Stark |
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Address | 230 N Broad St, Philadelphia, Pennsylvania |
Phone Number | 2157621808 |
Fax Number | 2157624721 |
Sole Proprietor | Y |
Credentials | DO |
NPI Number Detail
NPI Number | 1710987854 |
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Provider Enumeration Date | 2005-07-29 |
Last Updated Date | 2014-08-12 |
Provider Mailing Address Detail
Address | 230 N Broad St |
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City | Philadelphia |
State | Pennsylvania (PA) |
Post Code | 191021121 |
Phone Number | 2157621808 |
Fax Number | 2157624721 |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Radiology |
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Taxonomy | 2085R0202X |
Licence No | OS004175L |
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
371807 | NJ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ira R Stark?
The Ira R Stark has been issued the NPI (National Provider Identifier) 1710987854 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Ira R Stark's physical address?
The Ira R Stark is physically located at 230 N Broad St, in the city of Philadelphia, PA, with the postal code 191021121.
What is Ira R Stark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ira R Stark's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710987854 to Ira R Stark?
The Centers for Medicare & Medicaid Services originally issued the 1710987854 to Ira R Stark on 2005-07-29.
As of what date was the information pertaining to Ira R Stark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ira R Stark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-08-12.
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